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Individual

MRS. JESSANA MADELYN HENDRICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2275 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801-8809
(540) 689-4810
Mailing address
2275 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801-8809
(540) 689-4810

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-007960
VA
363AM0700X
Medical Physician Assistant
0110-007960
VA

Other

Enumeration date
10/11/2021
Last updated
12/20/2021
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